Defiance County General Health District Uniform Food ...€¦ · 4.1 Design & construction equipment, utensils, linens Durability & strength or equipment, food temperature measuring

Defiance County General Health District

Monthly Food Inspection Report

Code.

Pages three and four of this report contain the specific citations for violations observed

office, or visit http://codes.ohio.gov/oac/3717.

Defiance County General Health District 1300 East Second Street, Suite 100, Defiance, Ohio 43512

Phone 419-784-3818 Fax 419-782-4979 www.defiancecohealth.org

Attached you will find the food inspection report for the selected month. The first two pages

of this report provide a summary of each citation contained in the Ohio Uniform Food Safety

during each inspection.

The remainder of the report contains the full inspection report for each establishment.

If you would like more information on the Ohio Uniform Food Safety Code, please contact our

Click the Bookmark tab ( or ) to navigate the document.

http://codes.ohio.gov/oac/3717

OHIO ADMINISTRATIVE FOOD CODE CITATIONS

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2.1 Employee health Exclusion from work due to symptoms or illnesses

2.2 Personal cleanliness Clean hands & arms, Cleaning procedure for hands, When and where to wash hands, Hand antiseptics, Fingernail maintenance, Jewelry, Clothing

2.3 Hygienic practices Eating, drinking or using tobacco, Discharges from the eyes, nose, & mouth, using Hair restraints, Animals - handling prohibition

2.4 Supervision Assignment or responsibility, Demonstration of knowledge, Person-in-charge duties

3.0 Source Safe, unadulterated, & honestly presented

3.1 Approved Source complies with food law, Correct receiving temperature, Liquid eggs, ice-cream, cheese & milk products pasteurized, Package integrity when receiving, Ice made from drinking water, Shucked shellfish (packaging & identification),

3.2 Protection from contamination after receiving Preventing contamination from hands and when tasting, Separation, packaging & segregation of foods, Containers identified with common name; pasteurized eggs for certain recipes; unapproved additives; Washing fruits and vegetables; Prohibited as ingredient if ice used as exterior Coolant; Food cannot contact with water or ice; storage between use; Limited use for linens and napkins, wiping cloths and gloves, Clean tableware for 2nd portions & refills; Cannot refill returnables; food storage; Consumer self-service operations, Returned food & re-service of food

3.3 Destruction of organisms of public health concern Cooking, Microwave cooking, Plant food cooking for hot holding, Non-continuous cooking, Freezing for parasite destruction, Reheating for immediate service, Reheating for hot holding Time as a public health control, Variance requirement, Criteria for reduced oxygen packaging

3.4 Limitation of growth of organisms Time/Temperature controlled for safety foods; thawing procedures; cooling methods and requirements; hot/cold holding temperatures; date marking and disposition; time as a public health control; variance requirements; reduced oxygen packaging requirements

3.5 Food identity, presentation and on premises labeling Food properly packaged and labeled, Food honestly presented, Consumer advisory for raw or undercooked foods

3.6 Discarding or reconditioning unsafe, adulterated or contaminated food Discard food if: Unsafe. From unapproved source; contaminated by restricted/excluded employee; contaminated by hands, bodily discharges

3.7 Special requirements for highly susceptible populations Cannot use un-processed juice, must wear gloves when washing fruits or vegetables, may not be serve raw foods, Use pasteurized eggs, May not use time only for raw eggs, may not re-serve food from patients to others

4.0 Materials equipment, utensils, linens Material characteristics: Use limitation for cast iron, lead, copper, galvanized metal, sponges, wood, coatings, Nonfood-contact services must be smooth easily cleanable, non-absorbent, Single-service and single -use articles safe, clean, and may not break-down or contaminate.

4.1 Design & construction equipment, utensils, linens Durability & strength or equipment, food temperature measuring devices, Cleanability of equipment and surfaces, Accuracy food temperature measuring and pressure devices, Proper operation for equipment, beverage, and ice units, vending equipment maintained and in proper working order, dishwasher design, drainage, and measuring devices, Food equipment certification & classification.

4.2 Equipment, utensils & linens numbers & capacities Capacity of equipment for Cooling, heating & holding; Manual ware washing and sink compartment requirements, Adequacy ventilation hood systems, Clothes washers and dryers procedures, Utensils, available at salad bar and buffet, Food temperature measuring devices, Manual ware washing temp. measuring devices, Sanitizing solutions, testing devices

4.3 Equipment, utensils & linens location & installation Contamination prevention by properly storing food; Fixed equipment installation - spacing or sealing; Fixed equipment installation - elevation or sealing

4.4 Equipment, utensils & linens maintenance & operation Equipment repair & proper adjustment; Ware washing equipment cleaning, operation, and requirements; Required use single service & single use articles; Single service item use and limitation

4.5 Equipment, utensils & linens cleaning of equipment & utensils Cleaning frequency and methods for equipment, food-contact surfaces, nonfood-contact surfaces; Loading of soiled items in ware washing machines

4.6 Equipment, utensils, & linens sanitizing of equipment & utensils Sanitizing frequency and requirements

4.7 Equip., utensils, linens laundering Clean linens, Frequency of laundering, Storage of soiled linens, Mechanical washing, Use of laundry facilities


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4.8 Equipment, utensils, & linens protection of clean items Air drying required, Wiping cloth locations; Equipment, utensils, linens, single-service articles, and single-use articles storage, Storage – prohibitions; Kitchenware and tableware; handling, Preset tableware; equipment and utensils – rinsing restrictions

5.0 Water, plumbing, and waste requirements: water from approved source, drinking water system maintenance, Drinking water quality standards; Private water system sampling, adequate capacity and pressure, Alternative water requirements for mobile or temporary

5.1 Water, plumbing, and waste plumbing system Approved materials for construction, Handwashing sink installation, placement, and proper use, Backflow prevention and air gap, Toilets, urinals, service sink , Prohibiting a cross connection, Plumbing system maintained in good repair

5.2 Mobile water tanks Approved materials, design, construction, flushing, disinfection, proper hoses

5.3 Water, plumbing, and waste removal - sewage, other liquid waste, and rainwater Capacity & drainage; Drainage system; Backflow prevention; Grease trap; Conveying sewage; Removing waste; Flushing a waste retention tank; Approved sewage disposal system; Other liquid wastes & rainwater

5.4 Water, plumbing & waste storage - refuse, recyclables & returnables Indoor area and outdoor storage requirements, capacity and availability; Cover receptacle in toilet room; Cleaning implements & supplies; Location and placement; Cleaning and Removal frequency; Facilities for disposal & recycling - community or individual facility

6.0 Physical facilities - materials for construction & repair Surface characteristics for indoor and outdoor areas

6.1 Physical facilities design, construction, and installation Floors, walls & ceilings; Studs, joists, & rafters; Protective shielding light bulbs; Heating, ventilating, & air conditioning system vents; Design & installation insect control devices; Enclosed toilet room Use prohibition private homes & living or sleeping Quarters ; Separation living or sleeping quarters

6.2 Physical facilities #’s & capacities Minimum number handwashing sinks; handwash sink supplies and signs; Waste receptacle disposable towels; Minimum number toilets & urinals; Availability toilet tissue; Lighting intensity; Mechanical ventilation; Designation dressing areas & lockers; Availability service sinks

6.3 Physical facilities. location/placement Conveniently located handwashing sinks; Convenience & accessibility toilet rooms; Designated areas employee accommodations; Segregation & location distressed merchandise; Receptacles, waste handling units, & designated storage areas

6.4 Physical facilities maintenance & operation Repairing; Cleaning frequency & restrictions; Drying mops; Use limitation absorbent materials on floor; Cleaning plumbing; Closing toilet room doors; Controlling pests, Removing dead or trapped birds, insects, rodents, and other pests; Storing maintenance tools; Unnecessary items & liter;

7.0 Poisonous or toxic materials labeling & identification Original containers identifying information; Common name for working containers

7.1 Poisonous or toxic materials operational supplies & applications Storage separation; Restriction; Use of poisonous or toxic material containers; Sanitizers criteria; chemical use criteria; restricted use pesticides criteria; Rodent, pest control monitoring and control; Medicines restrictions & storage; Storage first aid supplies; Other personal care items storage

7.2 Poisonous or toxic materials storage & display separation; Location

8.0 Special requirements fresh juice production Proper package and labeling

8.1 Special requirements heat treatment dispensing freezers Requirements for freezer; Requirements to operate

8.2 Special requirements custom processing Allowable times; Hide & head segregation; Wrapping or containerized and segregation; Cleaning/sanitizing utensils; Inspection tag required; Identify products as not for sale

8.3 Special requirements bulk water machine criteria Water quality standards; Connection to approved water supply; Approved by testing agency; Disinfected last treatment; Monitoring devices; clean & sanitary condition ;Location of machines

8.4 Special requirements acidified white rice preparation criteria Description of product; Recipe for product; Method to determine pH; Standard sanitary operation procedures; Describe training program

9.0 Criteria for reviewing facilities Specifications on layout; Food equipment; Restrictions; Information on back of license for mobile; Temporary food requirements

20 3717-1-20 Existing facilities & equipment Grandfather clause; Replacement equipment & facilities


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2.1 Employee health Exclusion from work due to symptoms or illnesses

2.2 Personal cleanliness Clean hands & arms, Cleaning procedure for hands, When and where to wash hands, Hand antiseptics, Fingernail maintenance, Jewelry, Clothing

2.3 Hygienic practices Eating, drinking or using tobacco, Discharges from the eyes, nose, & mouth, using Hair restraints, Animals - handling prohibition

2.4 Supervision Assignment or responsibility, Demonstration of knowledge, Person-in-charge duties

3.0 Source Safe, unadulterated, & honestly presented

3.1 Approved Source complies with food law, Correct receiving temperature, Liquid eggs, ice-cream, cheese & milk products pasteurized, Package integrity when receiving, Ice made from drinking water, Shucked shellfish (packaging & identification),

3.2 Protection from contamination after receiving Preventing contamination from hands and when tasting, Separation, packaging & segregation of foods, Containers identified with common name; pasteurized eggs for certain recipes; unapproved additives; Washing fruits and vegetables; Prohibited as ingredient if ice used as exterior Coolant; Food cannot contact with water or ice; storage between use; Limited use for linens and napkins, wiping cloths and gloves, Clean tableware for 2nd portions & refills; Cannot refill returnables; food storage; Consumer self-service operations, Returned food & re-service of food

3.3 Destruction of organisms of public health concern Cooking, Microwave cooking, Plant food cooking for hot holding, Non-continuous cooking, Freezing for parasite destruction, Reheating for immediate service, Reheating for hot holding Time as a public health control, Variance requirement, Criteria for reduced oxygen packaging

3.4 Limitation of growth of organisms Time/Temperature controlled for safety foods; thawing procedures; cooling methods and requirements; hot/cold holding temperatures; date marking and disposition; time as a public health control; variance requirements; reduced oxygen packaging requirements

3.5 Food identity, presentation and on premises labeling Food properly packaged and labeled, Food honestly presented, Consumer advisory for raw or undercooked foods

3.6 Discarding or reconditioning unsafe, adulterated or contaminated food Discard food if: Unsafe. From unapproved source; contaminated by restricted/excluded employee; contaminated by hands, bodily discharges

3.7 Special requirements for highly susceptible populations Cannot use un-processed juice, must wear gloves when washing fruits or vegetables, may not be serve raw foods, Use pasteurized eggs, May not use time only for raw eggs, may not re-serve food from patients to others

4.0 Materials equipment, utensils, linens Material characteristics: Use limitation for cast iron, lead, copper, galvanized metal, sponges, wood, coatings, Nonfood-contact services must be smooth easily cleanable, non-absorbent, Single-service and single -use articles safe, clean, and may not break-down or contaminate.

4.1 Design & construction equipment, utensils, linens Durability & strength or equipment, food temperature measuring devices, Cleanability of equipment and surfaces, Accuracy food temperature measuring and pressure devices, Proper operation for equipment, beverage, and ice units, vending equipment maintained and in proper working order, dishwasher design, drainage, and measuring devices, Food equipment certification & classification.

4.2 Equipment, utensils & linens numbers & capacities Capacity of equipment for Cooling, heating & holding; Manual ware washing and sink compartment requirements, Adequacy ventilation hood systems, Clothes washers and dryers procedures, Utensils, available at salad bar and buffet, Food temperature measuring devices, Manual ware washing temp. measuring devices, Sanitizing solutions, testing devices

4.3 Equipment, utensils & linens location & installation Contamination prevention by properly storing food; Fixed equipment installation - spacing or sealing; Fixed equipment installation - elevation or sealing

4.4 Equipment, utensils & linens maintenance & operation Equipment repair & proper adjustment; Ware washing equipment cleaning, operation, and requirements; Required use single service & single use articles; Single service item use and limitation

4.5 Equipment, utensils & linens cleaning of equipment & utensils Cleaning frequency and methods for equipment, food-contact surfaces, nonfood-contact surfaces; Loading of soiled items in ware washing machines

4.6 Equipment, utensils, & linens sanitizing of equipment & utensils Sanitizing frequency and requirements

4.7 Equip., utensils, linens laundering Clean linens, Frequency of laundering, Storage of soiled linens, Mechanical washing, Use of laundry facilities


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4.8 Equipment, utensils, & linens protection of clean items Air drying required, Wiping cloth locations; Equipment, utensils, linens, single-service articles, and single-use articles storage, Storage – prohibitions; Kitchenware and tableware; handling, Preset tableware; equipment and utensils – rinsing restrictions

5.0 Water, plumbing, and waste requirements: water from approved source, drinking water system maintenance, Drinking water quality standards; Private water system sampling, adequate capacity and pressure, Alternative water requirements for mobile or temporary

5.1 Water, plumbing, and waste plumbing system Approved materials for construction, Handwashing sink installation, placement, and proper use, Backflow prevention and air gap, Toilets, urinals, service sink , Prohibiting a cross connection, Plumbing system maintained in good repair

5.2 Mobile water tanks Approved materials, design, construction, flushing, disinfection, proper hoses

5.3 Water, plumbing, and waste removal - sewage, other liquid waste, and rainwater Capacity & drainage; Drainage system; Backflow prevention; Grease trap; Conveying sewage; Removing waste; Flushing a waste retention tank; Approved sewage disposal system; Other liquid wastes & rainwater

5.4 Water, plumbing & waste storage - refuse, recyclables & returnables Indoor area and outdoor storage requirements, capacity and availability; Cover receptacle in toilet room; Cleaning implements & supplies; Location and placement; Cleaning and Removal frequency; Facilities for disposal & recycling - community or individual facility

6.0 Physical facilities - materials for construction & repair Surface characteristics for indoor and outdoor areas

6.1 Physical facilities design, construction, and installation Floors, walls & ceilings; Studs, joists, & rafters; Protective shielding light bulbs; Heating, ventilating, & air conditioning system vents; Design & installation insect control devices; Enclosed toilet room Use prohibition private homes & living or sleeping Quarters ; Separation living or sleeping quarters

6.2 Physical facilities #’s & capacities Minimum number handwashing sinks; handwash sink supplies and signs; Waste receptacle disposable towels; Minimum number toilets & urinals; Availability toilet tissue; Lighting intensity; Mechanical ventilation; Designation dressing areas & lockers; Availability service sinks

6.3 Physical facilities. location/placement Conveniently located handwashing sinks; Convenience & accessibility toilet rooms; Designated areas employee accommodations; Segregation & location distressed merchandise; Receptacles, waste handling units, & designated storage areas

6.4 Physical facilities maintenance & operation Repairing; Cleaning frequency & restrictions; Drying mops; Use limitation absorbent materials on floor; Cleaning plumbing; Closing toilet room doors; Controlling pests, Removing dead or trapped birds, insects, rodents, and other pests; Storing maintenance tools; Unnecessary items & liter;

7.0 Poisonous or toxic materials labeling & identification Original containers identifying information; Common name for working containers

7.1 Poisonous or toxic materials operational supplies & applications Storage separation; Restriction; Use of poisonous or toxic material containers; Sanitizers criteria; chemical use criteria; restricted use pesticides criteria; Rodent, pest control monitoring and control; Medicines restrictions & storage; Storage first aid supplies; Other personal care items storage

7.2 Poisonous or toxic materials storage & display separation; Location

8.0 Special requirements fresh juice production Proper package and labeling

8.1 Special requirements heat treatment dispensing freezers Requirements for freezer; Requirements to operate

8.2 Special requirements custom processing Allowable times; Hide & head segregation; Wrapping or containerized and segregation; Cleaning/sanitizing utensils; Inspection tag required; Identify products as not for sale

8.3 Special requirements bulk water machine criteria Water quality standards; Connection to approved water supply; Approved by testing agency; Disinfected last treatment; Monitoring devices; clean & sanitary condition ;Location of machines

8.4 Special requirements acidified white rice preparation criteria Description of product; Recipe for product; Method to determine pH; Standard sanitary operation procedures; Describe training program

9.0 Criteria for reviewing facilities Specifications on layout; Food equipment; Restrictions; Information on back of license for mobile; Temporary food requirements

20 3717-1-20 Existing facilities & equipment Grandfather clause; Replacement equipment & facilities

DEFIANCE COUNTY GENERAL HEALTH DISTRICTCritical and Non Critical Violations Report08/01/2020 - 08/31/2020FSO/RFE

Number ofViolationsThat WereCritical

Number ofViolationsStreet

SpecificViolations (* = critical violations)

A LITTLE SLICE OF HEAVEN 0 0518 CLINTON STREET

ASIAN GRILL BUFFET 4 28959 STATE ROUTE 66 NORTH 06.2.B,*03.2.C,*04.5.A,06.4.A

BARNEY'S BAR & GRILL 5 11101 MAIN STREET *02.4.B,03.2.D,03.2.K,04.1.H,04.5.A

BIG LOTS # 5292 1 11516 N CLINTON ST *03.2.C

BIGGBY COFFEE STORE #184 4 2720 N. CLINTON STREET *05.1.O,*05.1.O,04.4.A,04.5.A

BUD'S RESTAURANT 4 2505 SECOND STREET *03.4.G,*03.4.H,03.2.Q,04.4.A

BUFFALO WILD WINGS 2 11120 HOTEL DRIVE *04.1.L,06.4.B

BURGER KING # 444 3 01180 N. CLINTON STREET 04.1.Y,04.4.A,06.1.I

CABIN FEVER COFFEE 0 01882 JEFFERSON AVE

CABIN FEVER COFFEE 5 0312 CLINTON STREET 02.4.A,06.2.B,03.5.C,02.3.C,04.4.A

CAPTAIN D'S 2 108923 STATE ROUTE 66 NORTH *03.4.D,04.5.D

CASA GRANDE 9 4520 W. HIGH ST. *02.4.B,02.3.A,*05.1.O,*04.5.A,*07.0.B,03.4.E,06.1.M,04.8.E,06.4.A

CHARLIE'S PLACE 0 0300 DEFIANCE AVENUE

CHIEF MARKET SQUARE 9 4705 DEATRICK STREET *03.2.C,*07.0.B,*04.1.L,03.5.C,*03.5.C,03.2.K,04.4.A,04.5.A,06.2.I

CHINA GARDEN 3 1109 GEORGE ISAAC PLACE *03.2.C,04.4.A,06.2.I

CLOSE TO HOME CHILDCARE CENTERAND PRESCHOOL

0 0150 GRAND AVENUE

CLUBHOUSE PIZZA 1 0210 MAIN STREET 04.1.Y

COUGAR STATION 2 0506 E. HIGH STREET 04.5.A,06.4.B

DEFIANCE AREA YMCA 0 01599 PALMER DRIVE

DEFIANCE PARTY MART 1 01841 E. SECOND STREET 04.5.A

EL MEZCAL 12 21495 N. CLINTON STREET 15.4.C,17.4.C,02.3.A,*03.2.C,*03.4.H,03.2.D,04.8.E,04.8.E,04.0.I,04.1.H,06.1.C,06.3.C

ENSIGN'S PUB 0 0611 OTTAWA AVE

09/08/2020 Page 1

ERIC'S ICE CREAM FACTORY 1 11830 E. SECOND STREET *04.5.A

GOLDEN CHINA 2 1102 E. HIGH STREET *03.2.C,06.1.M

HAMPTON INN 0 01037 HOTEL DRIVE

HEATHER'S DAY CARE, LLC 0 01700 S. JEFFERSON AVE

HOLIDAY INN EXPRESS 0 01148 HOTEL DRIVE

INPATIENT HOSPICE FACILITY 0 006817 STATE ROUTE 66

JACOB'S MEATS 6 308127 ST RT 66 02.4.A,*03.2.C,*03.4.H,*03.4.K,04.0.I,06.1.I

LA JALISCIENCE MEXICAN GROCERIES,LLC

2 1531 E. SECOND STREET *04.5.A,04.4.A

LITTLE CAESARS PIZZA #14130004 3 0319 E. SECOND STREET 02.2.F,04.4.A,06.4.B

LUPITAS MEXICAN STORE 13 2107 E HIGH ST *02.4.A,02.4.A,06.2.C,04.1.Y,03.5.C,*03.5.C,04.4.A,04.4.A,04.5.A,06.0.A,06.4.B,06.4.N,03..

MARCO'S PIZZA # 38 1 0900 N. CLINTONT ST 03.2.D

MARTY'S 11 4180 E. MAIN STREET 02.4.A,*03.2.C,*04.4.N,*03.4.H,*07.0.B,07.1.M,06.1.M,02.3.C,04.4.A,04.5.A,04.5.D

MCDONALD'S (DEFIANCE - EAST) 1 01740 E. SECOND STREET 06.4.B

MCDONALD'S HICKSVILLE 2 0200 E. HIGH STREET 04.4.A,05.4.O

MERCY HOSPITAL OF DEFIANCE 0 01404 EAST SECOND STREET

NEWMAN'S CARRY-OUT DBA DEFIANCEFOOD MART

8 21421-C RALSTON AVENUE *03.4.G,*06.4.K,04.0.I,04.1.H,04.4.A,04.2.B,06.4.A,06.4.N

NEY MARATHON 3 0130 E. MAIN STREET 06.2.C,04.0.I,04.2.J

PADRONE'S PIZZA 9 11800 EAST SECOND STREET *03.2.C,07.1.B,04.1.Y,03.2.D,02.2.G,04.3.B,04.4.A,04.4.A,06.4.A

PANDA EXPRESS #2968 0 01455 N. CLINTON STREET

QUALITY INN 0 01068 HOTEL DRIVE

RED ANGEL PIZZA 3 1126 E. HIGH STREET *07.1.A,04.1.H,06.4.M

SHERWOOD VFW POST 5665 1 0115 CEDAR STREET 20..

SLAMMIN' SAMMIES LLC 0 01704 SPRUCE ST

SUPER 8 MOTEL 0 01053 HOTEL DRIVE

TACO BELL OF DEFIANCE 0 01902 EAST SECOND STREET

09/08/2020 Page 2

THE RUMOR MILL 1 1502 E SECOND STREET *03.4.H

TIM HORTON'S # 911056 6 1524 CLINTON STREET *03.2.C,03.2.K,06.4.H,06.1.C,06.2.I,06.2.I

TINORA HIGH SCHOOL 0 005921 DOMERSVILLE ROAD

Grand Totals 140 39

09/08/2020 Page 3

Food Inspection ReportAuthority: Chapters 3717 and 3715 Ohio Revised Code

State of Ohio

Name of facility

Address

License holder Inspection Time Travel Time

Type of inspection (check all that apply)Standard

Pre-licensing

Critical Control Point (FSO)

30 DayFoodborne Complaint Consultation

Variance Review

Water sample date/result

As per AGR 1268 The Baldwin Group, Inc. (11/19)As per HEA 5302A The Baldwin Group, Inc. (11/19)

License Number Date

Follow-up date (if required)

Check oneFSO RFE

Follow UpProcess Review (RFE)

City/State/Zip Code

Category/Descriptive

(if required)

FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONSMark designated compliance status (IN, OUT, N/O, N/A) for each numbered item:

Compliance Status Compliance StatusSupervision Time/Temperature Controlled for Safety Food (TCS food)

Person in charge present, demonstrates knowledge, and1 IN OUT

Certified Food Protection Manager

performs duties

2 IN OUT N/A

Employee HealthManagement, food employees and conditional employees;3 IN OUT

Proper use of restriction and exclusion

knowledge, responsibilities and reporting

4 IN OUT

Procedures for responding to vomiting and diarrheal events5 IN OUTGood Hygienic PracticesProper eating, tasting, drinking, or tobacco use6 IN OUT

No discharge from eyes, nose, and mouth7 IN OUT

Preventing Contamination by Hands

N/O

N/O

Hands clean and properly washed8 IN OUT

No bare hand contact with ready-to-eat foods or approvedalternate method properly followed

9 IN OUT

Adequate handwashing facilities supplied & accessible10 IN OUT

N/O

N/A N/O

Approved SourceFood obtained from approved source11 IN OUT

Food received at proper temperature12 IN OUTN/A N/O

Food in good condition, safe, and unadulterated13 IN OUT

destruction14 IN OUT

N/A N/ORequired records available: shellstock tags, parasite

Protection from Contamination

Food separated and protected15 IN OUTN/A N/O

Food-contact surfaces: cleaned and sanitized16IN OUT

Proper disposition of returned, previously served,17 IN OUT reconditioned, and unsafe food

Time/Temperature Controlled for Safety Food (TCS food)

Proper cooking time and temperatures18 IN OUTN/A N/O

Proper reheating procedures for hot holding19 IN OUTN/A N/O

Proper cooling time and temperatures20 IN OUTN/A N/O

Proper hot holding temperatures21 IN OUTN/A N/O

Proper cold holding temperatures22 IN OUT N/A

Proper date marking and disposition23 IN OUTN/A N/O

Time as a public health control: procedures & records24 IN OUTN/A N/O

Consumer Advisory

Consumer advisory provided for raw or undercooked foods25 IN OUTN/A

Pasteurized foods used; prohibited foods not offered26 IN OUTN/A

Highly Susceptible Populations

Chemical

Food additives: approved and properly used27 IN OUTN/A

Toxic substances properly identified, stored, used28 IN OUT

Conformance with Approved ProceduresCompliance with Reduced Oxygen Packaging, other29 IN OUT

N/A

Special Requirements: Fresh Juice Production30 IN OUTN/A N/O

Special Requirements: Heat Treatment Dispensing Freezers31 IN OUTN/O

Special Requirements: Custom Processing32 IN OUTN/A N/O

Special Requirements: Bulk Water Machine Criteria33 IN OUTN/O

Special Requirements: Acidified White Rice Preparation34 IN OUTN/A N/O

Critical Control Point Inspection35 IN OUT

Process Review36 IN OUTN/A

Variance37 IN OUTN/A

specialized processes, and HACCP plan

N/A

N/A

N/A

Criteria

are food preparation practices and employee behaviorsRisk Factorsthat are identified as the most significant contributing factors tofoodborne illness.

are control measures to preventPublic health interventionsfoodborne illness or injury.

Page ______

IN = in compliance OUT = not observed= not in compliance N/O N/A = not applicable

N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

A LITTLE SLICE OF HEAVEN

518 CLINTON STREET DEFIANCE OH 43512

1

96 08/14/2020

MARY WEISGERBER 45 0

/ / / /

COMMERCIAL CLASS 3 < 25,000 SQ. FT.

Name of Facility


State of Ohio

Type of Inspection Date

GOOD RETAIL PRACTICESGood Retail Practices are preventative measures to control the introduction of pathogens, chemicals, and physical objects into foods.

Safe Food and Water Utensils, Equipment and VendingPasteurized eggs used where required38 IN OUT

Water and ice from approved source39 IN OUTFood Temperature Control

Proper cooling methods used; adequate equipment40 IN OUT

Plant food properly cooked for hot holding

for temperature control

41 IN OUT

Approved thawing methods used42 IN OUT

Food IdentificationThermometers provided and accurate43

IN

OUT

Food properly labeled; original container44

IN

OUTPrevention of Food Contamination

Insects, rodents, and animals not present/outer45

IN

OUT

Contamination prevented during food preparation,46

IN

OUT

Personal cleanliness47 OUT

IN

Proper Use of Utensils

Wiping cloths: properly used and stored48 IN OUTWashing fruits and vegetables49 IN OUT

dried, handled51 IN OUT

50 IN OUT In-use utensils: properly stored

Single-use/single-service articles: properly52 IN OUT

Slash-resistant, cloth, and latex glove use53 IN OUT

Food and nonfood-contact surfaces cleanable, properly54 IN OUT

Warewashing facilities: installed, maintained,55 IN OUT

Physical FacilitiesNonfood-contact surfaces clean56 IN OUT

Hot and cold water available; adequate pressure57 IN OUT

Administrative

Plumbing installed; proper backflow devices58 IN OUT

Sewage and waste water properly disposed59 IN OUT

Toilet facilities: properly constructed, supplied, cleaned60 IN OUT

Garbage/refuse properly disposed; facilities maintained61 IN OUT

Physical facilities installed, maintained, and clean;62 IN OUT

Adequate ventilation and lighting; designated areas used63 IN OUT

Existing Equipment and Facilities64 IN OUT

901:3-4 OAC65 IN OUT

3701-21 OAC66 IN OUT

N/A

Mark designated compliance status (IN, OUT, N/O, N/A) for each numbered item: IN = in compliance OUT = not observed= not in compliance N/O N/A = not applicable

N/A N/O

designed, constructed, and usedN/A N/O

N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A

N/AUtensils, equipment and linens: properly stored,

storage & display

used; test stripsN/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

A LITTLE SLICE OF HEAVEN 08/14/2020

sta

dogs in outdoor dining areas

N/A

N/A

N/O

N/A N/O

Mark "X" in appropriate box for COS and R: COS = corrected on-site during inspection R = repeat violation

Item No. Code Section Priority Level Comment COS R

Observations and Corrective Actions

Comment/ Obs No violations observed at the time of inspection.

Page ______ of _______

Person in Charge Date

Sanitarian Licensor:

PRIORITY LEVEL: C=CRITICAL NC = NON-CRITICAL

08/14/2020

2 2

Defiance County General Health DistrictMIKE PRIGGE RS/SIT#

As per HEA 5302B The Baldwin Group, Inc. (11/19)As per AGR 1268 The Baldwin Group, Inc. (11/19)


State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

ASIAN GRILL BUFFET

8959 STATE ROUTE 66 NORTH DEFIANCE OH 43512

1

38 08/04/2020

EN XIN CHEN 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

ASIAN GRILL BUFFET 08/04/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Face masks worn by all employees.

Good signage throughout establishment.

Buffet is not open for self serve- buffett service by employees only.

10 3717-1-06.2(B) NC Handwashing cleanser - availability. Soap missing at one sink and dispensor broken at another. Soap provided

at time of inspection. Ensure hand wash sinks have soap available.

15 3717-1-03.2(C) C Packaged and unpackaged food - preventing contamination by separation, packaging, and segregation.

Observed several food containers under refrigeration that were not covered. Food shall be covered to prevent

contamination.

16 3717-1-04.5(A)(1) C Cleanliness of equipment food-contact surfaces and utensils. Observed inside of ice machine with accumulation

of residue. Food contact surfaces shall be clean to sight and touch. Person in charge will clean.

62 3717-1-06.4(A) NC Repairing. Coving tiles are missing on outside of the walk in cooler - repair tiles.

Page ______ of _______




08/04/2020

2 2

Defiance County General Health DistrictBRIAN HEIL RS/SIT# 3713



State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

BARNEY'S BAR & GRILL

1101 MAIN STREET EVANSPORT OH 43519

1

9007 08/20/2020

SCOTT & JODI BERNATH 75 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

BARNEY'S BAR & GRILL 08/20/2020

sta


N/A

N/A

N/O

N/A N/O




1 3717-1-02.4(B)(2)(k) C In discussion with the person-in-charge it was noted that the equipment used to touch ready-to-eat food (spatula)

was not being cleaned every four-hours as required by code. Per code, the person in charge shall demonstrate

this knowledge by explaining correct procedures for cleaning and sanitizing utensils and food-contact surfaces of

equipment

44 3717-1-03.2(D) NC Observed working containers of food with no identification on them. Per code, working containers holding food or

food ingredients that are removed from their original packages for use in a food service operation shall be

identified with the common name of the food.

50 3717-1-03.2(K) NC Observed the plastic scoop used to dispense ice in the back room stored on cardboard. Per code, during pauses

in food preparation or dispensing, food preparation and dispensing utensils shall be stored in a clean, protected

location if the utensils, such as an ice scoops, are used only with a food that is not time/temperature controlled

for safety. Item was washed and placed onto a proper location at the time of inspection.

54 3717-1-04.1(H) NC Observed that clear tape at one point was placed on the lid of the prep cooler. This makes the cleaning of the

equipment more difficult. Per code, nonfood-contact surfaces shall be free of unnecessary ledges, projections,

and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance.

56 3717-1-04.5(A)(3) NC Observed the equipment used to store the pop dispensing gun in in-between use had an accumulation of debris.

Per code, nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food

residue, and other debris.

Page ______ of _______




08/20/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

BIG LOTS # 5292

1516 N CLINTON ST DEFIANCE OH 43512

1

8003 08/28/2020

CS ROSS COMPANY 20 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

BIG LOTS # 5292 08/28/2020

sta


N/A

N/A

N/O

N/A N/O




15 3717-1-03.2(C) C Observed cartons of raw eggs stored on a shelf above other pre-packaged foods (milk, juice). Per code, food

shall be protected from cross contamination by separating raw animal foods during storage, preparation, holding,

and display. Eggs were placed on the bottom shelf at the time of inspection.

Page ______ of _______




08/28/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

BIGGBY COFFEE STORE #184

720 N. CLINTON STREET DEFIANCE OH 43512

1

39 08/18/2020

GROUND 4 U LLC/SUE STRAUSBAUGH 30 45

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

BIGGBY COFFEE STORE #184 08/18/2020

sta


N/A

N/A

N/O

N/A N/O




10 3717-1-05.1(O) C Using a handwashing sink - operation and maintenance. 10 3717-1-05.1(O)(2) C Using a handwashing sink - other uses prohibited. Observed dirty spoon in hand sink. Handwashing sinks shall

be used for handwashing only. Spoon removed at time of inspection - vioilation corrected.

54 3717-1-04.4(A) NC Equipment - good repair and proper adjustment. Seal is broken on walk-in cooler door. Repair/replace door seal. 56 3717-1-04.5(A)(3) NC Cleanliness of nonfood-contact surfaces of equipment. Observed top of ice machine unclean - nonfood-contact

surfaces shall be cleaned to preclude accumulation of dirt, dust, debris, and food residue. Cleaned at time of

inspection - violation corrected.

Page ______ of _______




08/18/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

BUD'S RESTAURANT

505 SECOND STREET DEFIANCE OH 43512

1

9011 08/20/2020

MATTHEW D. MAYER 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

BUD'S RESTAURANT 08/20/2020

sta ccp


N/A

N/A

N/O

N/A N/O




23 3717-1-03.4(G) C Ready-to-eat, time/temperature controlled for safety food - date marking. Observed cooked chicken that was two

days old and did not have a date - marked at time of inspection.

23 3717-1-03.4(H) C Ready-to-eat, time/temperature controlled for safety food - disposition. Observed tuna that was past its use by

date.

46 3717-1-03.2(Q) NC Food storage - preventing contamination from the premises. Observed many boxes of food on floor in walk in

freezer - food shall be at least 6 inches off the ground.

54 3717-1-04.4(A) NC Equipment - good repair and proper adjustment. Observed prep-cooler leaking. Person-in-charge states the

drain is clogged. Repair to prevent leaking/accumulation of water.

Page ______ of _______




08/20/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

BUFFALO WILD WINGS

1120 HOTEL DRIVE DEFIANCE OH 43512

1

4 08/18/2020

BISON RAPIDS INVESTMENTS 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

BUFFALO WILD WINGS 08/18/2020

sta


N/A

N/A

N/O

N/A N/O




43 3717-1-04.1(L) C Ambient air and water temperature measuring device - accuracy. Thermometer in walk-in chicken cooler was off

by 10° (measuring 45°F). Disposed of at time of inspection, other thermometer available. Violation corrected.

62 3717-1-06.4(B) NC Cleaning - frequency and restrictions. Observed floor behind and around hot water heat/storage area unclean.

Physical facilities shall be cleaned as often as necessary to keep them clean.

Page ______ of _______




08/18/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

BURGER KING # 444


1

9012 08/04/2020

CARROLS LLC 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

BURGER KING # 444 08/04/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility had proper signage for COVID-19 requirements.

Face coverings worn by all employees.

43 3717-1-04.1(Y) NC Temperature measuring devices. The ice cream cooler did not have a thermometer, provide thermometer to

monitor ambient temperature.

54 3717-1-04.4(A) NC Equipment - good repair and proper adjustment. Chicken nugget/onion ring reach in cooler has accumulation of

ice. Walk-in cooler is producing a lot of condensation. Repair/adjust equipment as necessary.

63 3717-1-06.1(I) NC Light bulbs - protective shielding. Observed light bulb in walk-in freezer that is not shielding. Provide shield.

Page ______ of _______




08/04/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CABIN FEVER COFFEE

1882 JEFFERSON AVE DEFIANCE OH 43512

1

221 08/18/2020

CABIN FEVER COFFEE & GIFTS 45 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CABIN FEVER COFFEE 08/18/2020

sta


N/A

N/A

N/O

N/A N/O




Page ______ of _______




08/18/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CABIN FEVER COFFEE


1

9106 08/18/2020

CABIN FEVER LLC 45 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CABIN FEVER COFFEE 08/18/2020

sta


N/A

N/A

N/O

N/A N/O




2 3717-1-02.4(A)(2) NC The facility did not have an individual with Managerial Certification (formally known as Level 2 training). 10 3717-1-06.2(B) NC Observed at the hand wash sink there was no hand soap. Per code, each handwashing sink or group of two

adjacent handwashing sinks shall be provided with a supply of hand cleaning liquid, powder, or bar soap. Soap

was provided at the time of inspection.

44 3717-1-03.5(C) NC Observed some of the packaged candies did not have an ingredient statement on them. Per code, food

packaged in a food service operation, shall be labeled. Label information shall include if made from two or more

ingredients, a list of ingredients and sub-ingredients in descending order of predominance by weight, including a

declaration of artificial colors, artificial flavors and chemical preservatives, if contained in the food.

47 3717-1-02.3(C) NC Observed an employee working around exposed food with no hair restraint. Per code, food employees shall

effectively restrain hair by wearing hair restraints such as hats, hair coverings or nets, beard restraints, and

clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed

food; clean equipment, utensils, or linens; or unwrapped single-service or single-use articles. Employee put on a

visor at the time of inspection.

54 3717-1-04.4(A)(2) NC Observed the rubber seal on the stand-up refrigerator is torn. Per code, equipment components such as doors,

seals, hinges, fasteners, and kick plates shall be kept intact, tight, and adjusted in accordance with

manufacturer's specifications.

Page ______ of _______




08/18/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CAPTAIN D'S

08923 STATE ROUTE 66 NORTH DEFIANCE OH 43512

1

10 08/25/2020

D'S OF OHIO 60 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CAPTAIN D'S 08/25/2020

sta


N/A

N/A

N/O

N/A N/O




20 3717-1-03.4(D) C Measured green beans cooling in the walk in cooler at 94°F after having been cooling for more than 2 hours. PIC

took beans and chose to reheat to 165°F and restart cooling process. Discussed cooling procedures and times

to control pathogen growth.

56 3717-1-04.5(D) NC Nonfood-contact surfaces - cleaning frequency. Observed spill underneath fish prep station as well as area

around microwaves unclean. Non food contact surfaces should be free of an accumulation of dust,dust,debris

and food residue.

Page ______ of _______




08/25/2020

2 2

Defiance County General Health DistrictJACOB ZIEGLER RS/SIT# 19-4437



State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CASA GRANDE

520 W. HIGH ST. HICKSVILLE OH 43526

1

198 08/26/2020

PASO DEL SOL III, LLC 120 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CASA GRANDE 08/26/2020

sta ccp


N/A

N/A

N/O

N/A N/O




1 3717-1-02.4(B)(2)(g) C Demonstration of Knowledge - During the inspection the person-in-charge was unable to properly identify when

asked, proper cold holding temperatures as well as proper cool down procedures.

6 3717-1-02.3(A) NC Observed an employee's drink, uncovered cup, stored on a prep table. Per code, an employee shall eat, drink, or

use tobacco only in designated areas where the contamination of exposed food; clean equipment, utensils, or

linens; unwrapped single-service or single-use articles; or other items needing protection cannot result. This

does not prohibit a food employee from drinking from a closed beverage container if the container is handled to

prevent contamination of the employee's hands, the container and exposed food; clean equipment, utensils, or

linens; or unwrapped single-service or single-use articles. The drink was moved to a proper location at the time

of inspection.

10 3717-1-05.1(O) C Observed the facility placed an extra prep table along the back wall in the kitchen. This addition has made

access to the hand wash sink difficult. Per code, a handwashing sink shall be maintained so that it is accessible

at all times for employee use.

16 3717-1-04.5(A)(1) C Observed several knives in storage that still had food residue on them. Also, the piercing portion of the can

opener had residue on it from previous use.

Observed the inside of the ice machine had an accumulation of a black residue on it. Per code, equipment

food-contact surfaces and utensils shall be clean to sight and touch. The items were properly washed and

sanitized at the time of inspection.

28 3717-1-07(B) C Observed a working spray bottle with a yellow chemical in it with no identification on it in the washware area. Per

code, working containers used for poisonous or toxic materials such as cleaners and sanitizers taken from bulk

Page ______ of _______




08/26/2020

2 3





Continuation ReportAuthority: Chapters 3717 and 3715 Ohio Revised Code

State of Ohio

Name of Facility Type of Inspection DateCASA GRANDE 08/26/2020 sta ccp

Observations and Corrective Actions (continued)

supplies shall be clearly and individually identified with the common name of the material. The bottle was

properly identified at the time of inspection.

40 3717-1-03.4(E) NC Observed containers of quesadilla sauce being cooled in the walk-in cooler that were in deep pans and covered.

Per code, cooling shall be accomplished in accordance with the time and temperature criteria by using one or

more of the following methods based on the type of food being cooled: Placing the food in shallow pans;

Separating the food into smaller or thinner portions; Using rapid cooling equipment; Stirring the food in a

container placed in an ice water bath; Using containers that facilitate heat transfer; Adding ice as an ingredient;

or Other effective methods. Food was portioned into smaller pans and placed into cooler without lids at the time

of inspection.

45 3717-1-06.1(M) NC Observed the drive-thru window was being left open when not in use. Per code, outer openings of a food service

operation shall be protected against the entry of insects and rodents by closed, tight-fitting windows. The window

was shut at the time of inspection.

51 3717-1-04.8(E)(2) NC Observed the bucket used to carry ice throughout the kitchen was not being stored inverted or covered as

required by code. The container was properly covered at the time of inspection.

62 3717-1-06.4(A) NC Observed the floor near the drain has tiles missing and is a rough surface. Per code, the physical facilities shall

be maintained in good repair.

Page ______ of _______




08/26/2020

3 3


As per HEA 5351 The Baldwin Group, Inc. (11/19)As per AGR 1268 The Baldwin Group, Inc. (11/19)


State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CHARLIE'S PLACE

300 DEFIANCE AVENUE HICKSVILLE OH 43526

1

9016 08/14/2020

GLEN EMENHISER 45 30

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CHARLIE'S PLACE 08/14/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs No apparent violations at the time of inspeciton.

All temperatures ok at time of inspection.

Page ______ of _______




08/14/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CHIEF MARKET SQUARE

705 DEATRICK STREET DEFIANCE OH 43512

1

8010 08/31/2020

120 0

/ / / /

COMMERCIAL CLASS 3 >= 25,000 SQ. FT.

Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CHIEF MARKET SQUARE 08/31/2020

sta


N/A

N/A

N/O

N/A N/O




15 3717-1-03.2(C) C Observed a box of pecans in the walk-in deli cooler that were being stored uncovered. In addition, there were

muffins being stored in the walk-in freezer in the bakery department uncovered. Per code, food shall be

protected from cross contamination by storing the food in packages, covered containers, or wrappings. The

pecans were covered at the time of inspection. The muffins were discarded at the time of inspection.

28 3717-1-07(B) C Observed a spray bottle in the deli area as well as a bottle in the fresh produce area that had chemical solutions

in them, with no identification. Per code, working containers used for poisonous or toxic materials such as

cleaners and sanitizers taken from bulk supplies shall be clearly and individually identified with the common

name of the material. Bottle were labeled at the time of inspection.

43 3717-1-04.1(L) C Observed the thermometer in the reach-in cooler in the Boot's BBQ area was reading 50F when the actual air

temperature was measured at 37F. Per code, ambient air and water temperature measuring devices that are

scaled only in Fahrenheit shall be accurate to plus or minus three degrees Fahrenheit in the intended range of

use. A new thermometer was placed into the unit at the time of inspection.

44 3717-1-03.5(C) NC Observed multiple of packaged foods that did not have a statement of quantity on them. Per code, label

information shall include an accurate declaration of the net quantity of contents.

44 3717-1-03.5(C)(2)(e) C Observed that there were packages of cheese that were packed and labeled at the facility that did not include an

ingredient statement. Per code, label information shall include if made from two or more ingredients, a list of

ingredients and sub-ingredients in descending order of predominance by weight, including a declaration of

artificial colors, artificial flavors and chemical preservatives, if contained in the food. This is listed as a critical

violation as a known allergen (milk) is missing.

50 3717-1-03.2(K) NC Observed the handle of the scoop in the bulk sugar bin was in contact with the food. Per code, during pauses in

Page ______ of _______




08/31/2020

2 3






State of Ohio

Name of Facility Type of Inspection DateCHIEF MARKET SQUARE 08/31/2020 sta


food preparation or dispensing, food preparation and dispensing utensils shall be stored in food that is not

time/temperature controlled for safety with their handles above the top of the food within containers or equipment

that can be closed, such as bins of sugar, flour, or cinnamon.

54 3717-1-04.4(A) NC Observed an accumulation of condensation in the meat walk-in freezer. Per code, equipment shall be

maintained in a state of repair.

56 3717-1-04.5(A)(3) NC Observed the outside of the plastic bin used to store bulk sugar was soiled with debris. Per code,

nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue, and

other debris.

63 3717-1-06.2(I)(1) NC Observed a light in the walk-in deli cooler was out, as well as a light in the walk-in meat freezer. Per code, the

light intensity shall be at least 10-foot candles at a distance of 30-inches above the floor, in walk-in refrigeration

units.

Page ______ of _______




08/31/2020

3 3




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CHINA GARDEN

109 GEORGE ISAAC PLACE DEFIANCE OH 43512

1

92 08/04/2020

ERIC X ZHANG ENTERPRIZES LLC 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CHINA GARDEN 08/04/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Dishwasher: wash cylcle 165F rinse cycle 172F - okay 15 3717-1-03.2(C) C Packaged and unpackaged food - preventing contamination by separation, packaging, and segregation.

Observed several foods in reach-in coolers that were uncovered. Cover foods to prevent contamination.

54 3717-1-04.4(A) NC Equipment - good repair and proper adjustment. Seal in broken on reach-in Coke cooler. Repair or replace door

seal.

63 3717-1-06.2(I)(1) NC Lighting - intensity (10 FC) - Light bulb is burned out in walk in freezer. Lighting must be a minimum of 10 foot

candles in walk-in refrigeration.

Page ______ of _______




08/04/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CLOSE TO HOME CHILDCARE CENTER AND PRESCHOOL

150 GRAND AVENUE DEFIANCE OH 43512

1

9066 08/04/2020

DARLINE CLEMENS 30 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLOSE TO HOME CHILDCARE CENTER AND PRESCHOOL 08/04/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs No apparent violations at the time of inspection.

Temperatures okay.

Page ______ of _______




08/04/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

CLUBHOUSE PIZZA

210 MAIN STREET NEY OH 43549

1

59 08/21/2020

JASON GUILLIAM 45 15

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

CLUBHOUSE PIZZA 08/21/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility clean and well maintained.

Dining area remodeled, looks great!

Discussed requirments during COVID-19 - all guidelines were followed during time of inspection, thank you.

43 3717-1-04.1(Y) NC Temperature measuring devices. Reach in condiment cooler did not have a thermometer. Provide thermometer

to monitor air temperature.

Page ______ of _______




08/21/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

COUGAR STATION

506 E. HIGH STREET HICKSVILLE OH 43526

1

8014 08/13/2020

SLATTERY OIL CO, INC 30 5

/ / / /

COMMERCIAL CLASS 3 < 25,000 S

Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

COUGAR STATION 08/13/2020

sta


N/A

N/A

N/O

N/A N/O




56 3717-1-04.5(A)(3) NC Cleanliness of nonfood-contact surfaces of equipment. Observed build-up of food debris on table next to prep

cooler in reach in icecream cooler. Nonfood-contact surfaces shall be cleaned to preclude accumulation of dirt,

dust, debris, and food residue.

62 3717-1-06.4(B) NC Cleaning - frequency and restrictions. Observed shelving above pizza prep cooler unclean. Physical facilities

shall be cleaned as often as necessary to keep them clean - clean shelving.

Page ______ of _______




08/13/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

DEFIANCE AREA YMCA

1599 PALMER DRIVE DEFIANCE OH 43512

1

7035 08/18/2020

YOUNG MENS CHRISTIAN ASSOCIATION OF DEFIANCE 30 5

/ / / /

NON-COMMERCIAL CLASS 3 < 25,000 SQ. FT.

Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

DEFIANCE AREA YMCA 08/18/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs All temperatures ok at the time of inspection.

Sanitizer 100 ppm chlorine - ok

No apparent violations at the time of inspection.

Page ______ of _______




08/18/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

DEFIANCE PARTY MART

1841 E. SECOND STREET DEFIANCE OH 43512

1

8017 08/17/2020

OTTAWA OIL COMPANY INC. 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

DEFIANCE PARTY MART 08/17/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs All temperatures ok at time of inspection. 56 3717-1-04.5(A)(3) NC Cleanliness of nonfood-contact surfaces of equipment. Observed top of coffee and cappucino machines unclean

with accumulation of dust. Nonfood-contact surfaces shall be cleaned to preclude accumulation of dirt, dust,

debris, and food residue.

Page ______ of _______




08/17/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

EL MEZCAL


1

81 08/28/2020

CLINTON STREET INVESTMENTS LLC 120 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

EL MEZCAL 08/28/2020

sta ccp


N/A

N/A

N/O

N/A N/O




3 3717-1-02.4(C)(15) C The facility did not a verifiable employee health restriction on file at the time of inspection. Per code, food

employees and conditional employees are informed in a verifiable manner of their responsibility to report in

accordance with this chapter, to the person in charge, information about their health as it relates to diseases that

are transmissible through food as specified under paragraph (A) of rule 3717-1-02.1 of the Administrative Code.

A copy was provided to the establishment.

5 3717-1-02.4(C)(17) NC The facility could not product a written procedure for handling a vomit or fecal incident. Per code, a food service

operation shall have written procedures for employees to follow when responding to vomiting or diarrheal events

that involve discharge onto surfaces in the food service operation or retail food establishment. The procedures

shall address the specific actions employees must take to minimize the spread of contamination and the

exposure of employees, consumers, food, and surfaces to vomitus or fecal matter. A copy was provided to the

establishment at the time of inspection.

6 3717-1-02.3(A) NC Observed an employee's uncovered drink in the kitchen next to the prep cooler. Per code, an employee shall

eat, drink, or use tobacco only in designated areas where the contamination of exposed food; clean equipment,

utensils, or linens; unwrapped single-service or single-use articles; or other items needing protection cannot

result. This does not prohibit a food employee from drinking from a closed beverage container if the container is

handled to prevent contamination of: The employee's hands; The container; and Exposed food; clean

equipment, utensils, or linens; or unwrapped single-service or single-use articles. The drink was removed at the

time of inspection.

15 3717-1-03.2(C) C Observed multiple containers of food being stored in the reach-in coolers, with no covering on them. Per code,

food shall be protected from cross contamination by storing the food in packages, covered containers, or

Page ______ of _______




08/28/2020

2 3






State of Ohio

Name of Facility Type of Inspection DateEL MEZCAL 08/28/2020 sta ccp


wrappings. All containers had a lid placed on them at the time of inspection.

Observed in the reach-in cooler raw hamburger patties stored on a shelf above sliced pineapples. Per code, food

shall be protected from cross contamination by separating raw animal foods during storage, preparation, holding,

and display from raw ready-to-eat food. Food was properly arranged at the time of inspection.

23 3717-1-03.4(H) C Observed four containers of TCS foods in the walk-in cooler that were past the expiration date. All food was

discarded at the time of inspection.

44 3717-1-03.2(D) NC Observed two working containers of food with no identification on them. Per code, working containers holding

food or food ingredients that are removed from their original packages for use in a food service operation shall

be identified with the common name of the food.

51 3717-1-04.8(E)(1) NC Observed in the back production room clean utensils were being stored in containers that had an accumulation

of debris in them. Per code, cleaned equipment and utensils, laundered linens, single-service articles, and

single-use articles shall be stored in a clean, dry location, where they are not exposed to splash, dust, or other

contamination. Utensils and storage containers were washed and sanitized at the time of inspection.

51 3717-1-04.8(E)(2) NC Observed utensils being stored with the food contact portion up and no other protection provided. Per code,

clean equipment and utensils shall be stored covered or inverted. All utensils were properly arranged at the time

of inspection.

54 3717-1-04(I) NC Observed the legs of the stainless steel prep table in the back room to have an accumulation of rust and be

pitted. Per code, nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food

soiling or that require frequent cleaning shall be constructed of a corrosion-resistant, nonabsorbent, and smooth

material.

54 3717-1-04.1(H) NC Observed cardboard being used to line a shelf utensils were being stored on. Per code, nonfood-contact

surfaces shall be free of unnecessary ledges, projections, and crevices, and designed and constructed to allow

easy cleaning and to facilitate maintenance. The cardboard was removed at the time of inspection.

62 3717-1-06.1(C) NC Observed multiple locations in the back storage rooms where there was a gap between the wall and floor

junction. Per code, in food service operations in which cleaning methods other than water flushing are used for

cleaning floors, the floor and wall junctures shall be coved and closed to no larger than one thirty-second inch.

63 3717-1-06.3(C) NC Observed an employee's cell phone being stored on a plate used for serving food. Per code, lockers or other

suitable facilities shall be located in a designated room or area where contamination of food, equipment,

utensils, linens, single-service articles, and single-use articles cannot occur. The phone was removed and the

utensil was washed and sanitized at the time of inspection.

Page ______ of _______




08/28/2020

3 3




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

ENSIGN'S PUB

611 OTTAWA AVE DEFIANCE OH 43512

1

180 08/07/2020

BRANDON ENSIGN 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

ENSIGN'S PUB 08/07/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs All temperatures okay.

No apparent violations at time of inspection.

Page ______ of _______




08/07/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

ERIC'S ICE CREAM FACTORY


1

5 08/06/2020

ERIC GERBER 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

ERIC'S ICE CREAM FACTORY 08/06/2020

sta


N/A

N/A

N/O

N/A N/O




16 3717-1-04.5(A)(1) C Cleanliness of equipment food-contact surfaces and utensils. Observed build-up of residue on can opener.

Observed build-up of residue on inside of ice machine. Food contact surfaces of equipment shall be clean to

sight and touch. Clean these surfaces.

Page ______ of _______




08/06/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

GOLDEN CHINA


1

9117 08/14/2020

AI ZHU DONG 45 30

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

GOLDEN CHINA 08/14/2020

sta ccp


N/A

N/A

N/O

N/A N/O




Comment/ Obs All temperatures okay at time of inspection. No buffet operation during COVID-19 15 3717-1-03.2(C) C Packaged and unpackaged food - preventing contamination by separation, packaging, and segregation. Many

foods in walk-in cooler are not covered. Cover food containers to protect from contamination.

45 3717-1-06.1(M) NC Outer openings - protected. Gap above back door of facility. Modify above door to close gap and protect from

contamination.

Page ______ of _______




08/14/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

HAMPTON INN


1

63 08/07/2020

OLD FORT HOSPITALITY INC 30 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

HAMPTON INN 08/07/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility has postponed operation of the dining area.

Bagged items available for breakfast only.

Bagged items are pre-packaged.

Page ______ of _______




08/07/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

HEATHER'S DAY CARE, LLC

1700 S. JEFFERSON AVE DEFIANCE OH 43512

1

205 08/24/2020

HEATHER MCMONIGAL 30 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

HEATHER'S DAY CARE, LLC 08/24/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs No violations observed at the time of inspection.

Page ______ of _______




08/24/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

HOLIDAY INN EXPRESS


1

9116 08/06/2020

DEFIANCE HOSPITALITY INC. 30 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

HOLIDAY INN EXPRESS 08/06/2020

sta ccp


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility has postponed operation of the breakfast dining area.

Hot food available upon order - buffet not in operation.

No apparent violations.

Page ______ of _______




08/06/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

INPATIENT HOSPICE FACILITY

06817 STATE ROUTE 66 DEFIANCE OH 43512

1

24 08/25/2020

COMMUNITY HEALTH PROFESSIONALS 30 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

INPATIENT HOSPICE FACILITY 08/25/2020

sta ccp


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility was not actively producing food on this date. A walk-through of the facility was conducted an no

violations were observed.

Page ______ of _______




08/25/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

JACOB'S MEATS

08127 ST RT 66 DEFIANCE OH 43512

1

8034 08/05/2020

MIKE STORK 90 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

JACOB'S MEATS 08/05/2020

sta ccp


N/A

N/A

N/O

N/A N/O




2 3717-1-02.4(A)(2) NC There facility does not have a person with the managerial certification as required by code. 15 3717-1-03.2(C) C Observed in the walk-in cooler (front of the store) a bag of opened candy that was not closed in storage. Per

code, food shall be protected from cross contamination by storing the food in packages, covered containers, or

wrappings. Product closed at the time of inspection.

23 3717-1-03.4(H) C Observed in the deli case, two packages of ready-to-eat deli meats that were pass the 7-day limit found in

3.4(G). The items were discarded at the time of inspection.

29 3717-1-03.4(K) C Observed two types of raw meat product that are being reduced oxygen packed in the facility. Per the facility's

HACCP plan for this type of activity, a statement of discarding after 30 days and keep below 41F were not on the

label.

54 3717-1-04(I) NC Observed the frames of shelving units in the dry storage are bare wood. Per code, nonfood-contact surfaces of

equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning shall be

constructed of a corrosion-resistant, nonabsorbent, and smooth material.

63 3717-1-06.1(I) NC Observed in the walk-in dry storage area one of the lights was unshielded. Per code, light bulbs shall be

shielded, coated, or otherwise shatter-resistant in areas where there is exposed food; clean equipment, utensils,

or linens; or unwrapped single-service or single-use articles.

Page ______ of _______




08/05/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

LA JALISCIENCE MEXICAN GROCERIES, LLC


1

107 08/20/2020

MARTA L. MORALES/J. CRESENCIO ORNELAS 60 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

LA JALISCIENCE MEXICAN GROCERIES, LLC 08/20/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Great improvements in facility cleanliness and operations.

Discussed wrapping consumer grab bakery/pastry items per COVID-19 guidelines.

16 3717-1-04.5(A)(1) C Cleanliness of equipment food-contact surfaces and utensils. Observed can opener unclean. Food contact

surfaces of equipment shall be clean to sight and touch.

54 3717-1-04.4(A) NC Equipment - good repair and proper adjustment. Reach-in novelty ice cream cooler has accumualtion of ice.

Adjust to prevent ice build-up.

Page ______ of _______




08/20/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

LITTLE CAESARS PIZZA #14130004


1

83 08/17/2020

R & E PIZZA PEOPLE 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

LITTLE CAESARS PIZZA #14130004 08/17/2020

sta pr


N/A

N/A

N/O

N/A N/O




Comment/ Obs Significant improvement in physical facilities since last standard inspection.

Temperatures ok at time of inspection.

Comment/ Obs Proccess review - Property procedue for temperature control on pizzas. 47 3717-1-02.2(F)(2) NC Fingernails - artificial. Observed employee with long artificial nails. Unless wearing intact gloves in good repair, a

food employee may not wear fingernail polish or artificial fingernails when working with exposed food.

54 3717-1-04.4(A) NC Equipment - good repair and proper adjustment. Observed build-up of ice in reach in freezer. Adjust to prevent

build up of ice.

62 3717-1-06.4(B) NC Cleaning - frequency and restrictions. Floor is unclean by hot water heater near back door. Physical facilities

shall be cleaned as often as necesary to keep them clean.

Page ______ of _______




08/17/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

LUPITAS MEXICAN STORE

107 E HIGH ST HICKSVILLE OH 43526

1

188 08/14/2020

ADRIAN-LEVI JANITORIAL CORP 60 30

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

LUPITAS MEXICAN STORE 08/14/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility expanded (moved retail to adjacent building) without submitting a plan review. Will need to fill out a plan

review application for the expansion.

During COVID-19, the State requires all food that is consumer self serve be individually wrapped or packaged.

Observed baked items and pastries that were not individually wrapped.

1 3717-1-02.4(A)(1) C Person in charge: assignment of responsibility. The worker in the kitchen stated she was a fill in and did not

have knowledge about the food in the kitchen, including when food was produced, cooled, etc.

2 3717-1-02.4(A)(2) NC Level Two Certified Manager. Facitlity has a PIC (not present during inspection) but does not have a Manager

trainined in food safety. Must obtain Manager's certification from an ODH approved course.

10 3717-1-06.2(C) NC Handwashing sinks - hand drying provision. No paper towels available at hand sink in kitchen. Provide paper

towels.

43 3717-1-04.1(Y) NC Temperature measuring devices. Cooler in retail area did not have a thermometer in it - provide thermometer. 44 3717-1-03.5(C) NC Food labels. Food is being re-packed without proper label (chex mix). Also facility is breaking bulk and selling

food that is not labeled for retail sale (jello). "Pan Dulce unlabeled" . All food packed in facility must bear labels.

Label information shall include:

3717-1-03.5.C.2.a: The common name of the food, or absent a common name, an adequately descriptive

identity statement;

3717-1-03.5.C.2.b: If made from two or more ingredients, a list of ingredients and sub-ingredients in descending

order of predominance by weight, including a declaration of artificial colors, artificial flavors and chemical

preservatives, if contained in the food;

Page ______ of _______




08/14/2020

2 3






State of Ohio

Name of Facility Type of Inspection DateLUPITAS MEXICAN STORE 08/14/2020 sta


3717-1-03.5.C.2.c: An accurate declaration of the quantity of contents;

3717-1-03.5.C.2.d: The name and place of business of the manufacturer, packer, or distributor; and

3717-1-03.5.C.2.e: The name of the food source for each major food allergen contained in the food unless the

food source is already part of the common or usual name of the respective ingredient.

44 3717-1-03.5(C)(2)(e) C Food labels - Allergens. Peanuts in chex mix - not labeled. 54 3717-1-04.4(A)(1) NC Equipment - good repair and proper adjustment. Cooler in retail area not cold enough. Reach in cooler in kitchen

not cold enought. Repair/adjust coolers.

54 3717-1-04.4(A) NC Equipment - good repair and proper adjustment. Seal is broken on prep-cooler door. Replace seal. 56 3717-1-04.5(A)(3) NC Cleanliness of nonfood-contact surfaces of equipment. Observed inside of prep cooler unclean. 62 3717-1-06.0(A) NC Indoor areas - surface characteristics. Observed framing of reach in cooler (build to walk in) constructed with

bare wood. This framing need to be sealed to protect from deterioration, and contamination.

62 3717-1-06.4(B) NC Cleaning - frequency and restrictions. Dishwashing room unclean. Utility room unclean. Clean these areas as

often as necessary to keep them clean.

62 3717-1-06.4(N) NC Maintaining premises - unnecessary items and litter. Utility room needs organized to facilitate cleaning. Many

items on the floor.

66 3701-21-03 NC Facility layout and equipment specifications for FSO. Must complete plan review application for addition to

facility.

Page ______ of _______




08/14/2020

3 3




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

MARCO'S PIZZA # 38

900 N. CLINTONT ST DEFIANCE OH 43512

1

8041 08/11/2020

E & S BUETER CORPORATION 45 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

MARCO'S PIZZA # 38 08/11/2020

sta


N/A

N/A

N/O

N/A N/O




44 3717-1-03.2(D) NC Observed working containers in the kitchen without identification on them. Per code, working containers holding

food or food ingredients that are removed from their original packages for use in a retail food establishment shall

be identified with the common name of the food.

Page ______ of _______




08/11/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

MARTY'S

180 E. MAIN STREET NEY OH 43549

1

9071 08/14/2020

MARTY SPANGLER 95 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

MARTY'S 08/14/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs A discussion was had with the owner with regards to buffet services. Under the state's Responsible Restart

protocols, food service establishments are not to have consumer self-serve buffet lines. Discussed the options,

which would include an employee serving food instead of the customers.

2 3717-1-02.4(A)(2) NC Facility needs to have at least one person with level two certified manager training. 15 3717-1-03.2(C) C Observed in the reach-in cooler raw ground beef stored on a shelf above ready-to-eat food. Per code, food shall

be protected from cross contamination by separating raw animal foods during storage, preparation, holding, and

display from raw ready-to-eat food. Food was moved to proper location at the time of inspection.

16 3717-1-04.4(N)(1) C At the time of inspection, the mechanical washware machine was observed not to be injecting enough chemical

sanitizer. A new, non-diluted bottle of chemical sanitizer was added at the time of inspection.

23 3717-1-03.4(H) C Observed three items of ready-to-eat food (bologna, homemade potato salad, and homemade dressing) that

were past the expiration date or had no date on them. All food was discarded at the time of inspection.

28 3717-1-07(B) C Observed multiple spray containers used to store chemicals in them with no identification. Per code, working

containers used for poisonous or toxic materials such as cleaners and sanitizers taken from bulk supplies shall

be clearly and individually identified with the common name of the material. The bottles were identified at the

time of inspection.

28 3717-1-07.1(M) NC Observed medicine and other personal items stored on a shelf over a food prep/storage area in the kitchen. Per

code, medicines that are in a food service operation for the employees' use shall be located to prevent the

contamination of food, equipment, utensils, linens, single-service articles, and single-use articles. Items were

moved at the time of inspection.

45 3717-1-06.1(M) NC Observed that the screen door in the kitchen was not closed tightly. Also, the door has multiple tears in the

Page ______ of _______




08/14/2020

2 3






State of Ohio

Name of Facility Type of Inspection DateMARTY'S 08/14/2020 sta


screen that could allow insects to enter the facility. Per code, outer openings of a food service operation shall be

protected against the entry of insects and rodents by solid, self-closing, tight-fitting doors.

47 3717-1-02.3(C) NC Observed employees working around exposed food without proper hair restraint. Per code, food employees shall

effectively restrain hair by wearing hair restraints such as hats, hair coverings or nets, beard restraints, and

clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed

food; clean equipment, utensils, or linens; or unwrapped single-service or single-use articles.

54 3717-1-04.4(A) NC Observed both stand-up freezers have a heavy build-up of condensation. Per code, equipment shall be

maintained in a state of repair.

56 3717-1-04.5(A)(3) NC Observed the top of the hot-hold lamp had an accumulation of dust on it.

Observed the plastic container used to hold the pop dispensing gun in-between uses to have an accumulation of

debris in it. Per code, nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt,

food residue, and other debris.

56 3717-1-04.5(D) NC Observed an accumulation dust and grease on the fire suppression system under the hood in the kitchen. Per

code, nonfood-contact surfaces of equipment shall be cleaned at a frequency necessary to preclude

accumulation of soil residues.

Page ______ of _______




08/14/2020

3 3




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

MCDONALD'S (DEFIANCE - EAST)


1

9072 08/13/2020

JAMES RIVELLO 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

MCDONALD'S (DEFIANCE - EAST) 08/13/2020

sta ccp


N/A

N/A

N/O

N/A N/O




Comment/ Obs Drive-thru only.

All temperatures okay at time of inspection.

62 3717-1-06.4(B) NC Cleaning - frequency and restrictions. Observed build-up of dirt and debris behind ice-cream machine and food

bagging area. Physical facilities shall be cleaned as often as necessary to keep them clean.

Page ______ of _______




08/13/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

MCDONALD'S HICKSVILLE


1

9073 08/26/2020

SPEEDY HICKSVILLE, LLC 90 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

MCDONALD'S HICKSVILLE 08/26/2020

sta ccp


N/A

N/A

N/O

N/A N/O




54 3717-1-04.4(A) NC Observed the plastic ice bin at the coffee station is cracked. Per code, equipment shall be maintained in a state

of repair.

61 3717-1-05.4(O) NC Observed that the facility's two dumpsters did not have a plug in the bottom of the outside waste receptacles.

Per code, drains in receptacles and waste handling units for refuse, recyclables, or returnables shall have drain

plugs in place.

Page ______ of _______




08/26/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

MERCY HOSPITAL OF DEFIANCE

1404 EAST SECOND STREET DEFIANCE OH 43512

1

8 08/13/2020

AVI 30 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

MERCY HOSPITAL OF DEFIANCE 08/13/2020

sta ccp


N/A

N/A

N/O

N/A N/O




Comment/ Obs No apparent violations at the time of inspection.

All temperatures ok at the time of inspection.

Page ______ of _______




08/13/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

NEWMAN'S CARRY-OUT DBA DEFIANCE FOOD MART

1421-C RALSTON AVENUE DEFIANCE OH 43512

1

8046 08/21/2020

J & J STORES INC 90 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

NEWMAN'S CARRY-OUT DBA DEFIANCE FOOD MART 08/21/2020

sta pr


N/A

N/A

N/O

N/A N/O




23 3717-1-03.4(G) C Observed a package of sliced ready-to-eat meat that had been opened from the original container being

defrosted in the walk-in. The product was not re-dated at the time it was removed from the freezer. Item was

properly dated at time of inspection.

45 3717-1-06.4(K) C Observed mice droppings on the floor in the storage shed. Per code, the presence of insects, rodents, and other

pests shall be controlled to minimize their presence on the premises by routinely inspecting incoming shipments

of food and supplies; routinely inspecting the premises for evidence of pests; using methods, if pests are found,

such as trapping devices or other means of pest control; and eliminating harborage conditions.

54 3717-1-04(I) NC Observed multiple shelves/cabinets in the kitchen area with bare wood exposed. Per code, nonfood-contact

surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning

shall be constructed of a corrosion-resistant, nonabsorbent, and smooth material.

54 3717-1-04.1(H) NC Observed there was tape placed onto the prep-cooler lid, which makes cleaning difficult. Per code,

nonfood-contact surfaces shall be free of unnecessary ledges, projections, and crevices, and designed and

constructed to allow easy cleaning and to facilitate maintenance.

54 3717-1-04.4(A)(2) NC Observed a tear in the rubber gasket/seal of the stand-up freezer. Per code, equipment components such as

doors, seals, hinges, fasteners, and kick plates shall be kept intact, tight, and adjusted in accordance with

manufacturer's specifications.

55 3717-1-04.2(B)(2) NC Observed the facility's three-bay sink is not of adequate size to handle the washing of equipment. Per code, sink

compartments shall be large enough to accommodate immersion of the largest equipment and utensils

62 3717-1-06.4(A) NC Observed in the walk-in cooler painting chipping on the celling. Per code, the physical facilities shall be

maintained in good repair.

Page ______ of _______




08/21/2020

2 3






State of Ohio

Name of Facility Type of Inspection DateNEWMAN'S CARRY-OUT DBA DEFIANCE FOOD MART 08/21/2020 sta pr


62 3717-1-06.4(N) NC Observed an accumulation of debris near the dumpster area, as well as outside premise of the facility. Per code,

the premises shall be free of litter.

Page ______ of _______




08/21/2020

3 3




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

NEY MARATHON

130 E. MAIN STREET NEY OH 43549

1

8048 08/21/2020

VICTOR SHARMA 45 15

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

NEY MARATHON 08/21/2020

sta


N/A

N/A

N/O

N/A N/O




10 3717-1-06.2(C) NC Handwashing sinks - hand drying provision. No paper towels provided at hand sink. Provide single use drying

provision.

54 3717-1-04(I) NC Nonfood-contact surfaces - materials. Table for F'Real machine is made of wood and has moisture damage.

Surfaces which are subject to moisture shall be smooth, easily cleanable, non-absorbent. Seal wood on table.

55 3717-1-04.2(J) NC Equipment, utensils, and linens: numbers and capacities. Cleaning agents and sanitizers, availability. Facility

was out of sanitizer for the 3-bay sink. Sanitizer shall be provided to sanitize dishes in a 3 compartment sink.

Page ______ of _______




08/21/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

PADRONE'S PIZZA


1

15 08/10/2020

HUDLAN ENTERPRIZES LLC 90 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

PADRONE'S PIZZA 08/10/2020

sta


N/A

N/A

N/O

N/A N/O




15 3717-1-03.2(C) C Observed in the walk-in cooler a container of sour cream being stored without being covered. Per code, food

shall be protected from cross contamination by storing the food in packages, covered containers, or wrappings.

Food covered at time of inspection.

28 3717-1-07.1(B) NC Observed in the storage area, a bottle of sanitizer stored on a shelf above single-use utensils. Per code,

poisonous or toxic materials shall be stored so they cannot contaminate food, equipment, utensils, linens,

single-service articles, and single-use articles by locating the poisonous or toxic materials in an area that is not

above food, equipment, utensils, linens, single-service articles, or single-use articles.

43 3717-1-04.1(Y) NC Observed that the pizza prep cooler did not have a thermometer in it. Per code, in a mechanically refrigerated,

the sensor of a temperature-measuring device shall be located to measure the air temperature or a simulated

product temperature in the warmest part of a mechanically refrigerated unit. A thermometer was added to the

unit at the time of inspection.

44 3717-1-03.2(D) NC Observed multiple working containers for sauces without identification on them. Per code, working containers

holding food or food ingredients that are removed from their original packages for use in a retail food

establishment shall be identified with the common name of the food.

47 3717-1-02.2(G) NC Observed an employee working around exposed food wearing a watch on his arm. Per code, while preparing

food, food employees may not wear jewelry on their arms or hands except for a medical alert bracelet, when a

reasonable accommodation is made, or a plain ring such as a wedding band.

54 3717-1-04.3(B) NC Observed there is a gap between the three-bay sink and the adjoining wall. Per code, equipment that is fixed

because it is not easily movable shall be installed so that it is sealed to adjoining equipment or walls, if the

equipment is exposed to spillage or seepage.

Page ______ of _______




08/10/2020

2 3






State of Ohio

Name of Facility Type of Inspection DatePADRONE'S PIZZA 08/10/2020 sta


54 3717-1-04.4(A)(1) NC Observed that the air temperature in the walk-in cooler had risen to 51F. The food was below the required

temperature. One of the compressors was not running. As a precaution, all food was moved to the prep coolers

until the unit can be fixed.

54 3717-1-04.4(A)(2) NC Observed the seal to the salad prep cooler door is ripped.

Observed the pizza prep cooler unit is missing a panel that covers the compressor unit. Per code, equipment

components such as doors, seals, hinges, fasteners, and kick plates shall be kept intact, tight, and adjusted in

accordance with manufacturer's specifications.

62 3717-1-06.4(A) NC Observed missing ceiling tiles in the kitchen area. Per code, the physical facilities shall be maintained in good

repair.

Page ______ of _______




08/10/2020

3 3




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

PANDA EXPRESS #2968


1

211 08/25/2020

CHENG ZHANG 30 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

PANDA EXPRESS #2968 08/25/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs No violations documented at time of inspection.

Page ______ of _______




08/25/2020

2 2

Defiance County General Health DistrictJACOB ZIEGLER RS/SIT# 19-4437



State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

QUALITY INN


1

9019 08/07/2020

JAGAT HOSPITALITY 30 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

QUALITY INN 08/07/2020

sta


N/A

N/A

N/O

N/A N/O




Page ______ of _______




08/07/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

RED ANGEL PIZZA


1

106 08/26/2020

RED ANGEL PIZZA 60 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

RED ANGEL PIZZA 08/26/2020

sta


N/A

N/A

N/O

N/A N/O




28 3717-1-07.1(A) C Observed a bottle of floor cleaner stored on a shelf above a pallet of bagged flour. Per code, poisonous or toxic

materials shall be stored so they cannot contaminate food, equipment, utensils, linens, single-service articles,

and single-use articles by locating the poisonous or toxic materials in an area that is not above food, equipment,

utensils, linens, single-service articles, or single-use articles. The item was moved to proper location at the time

of inspection.

54 3717-1-04.1(H) NC Observed the vinyl shelf liner where potatoes are cut is cracked and damaged. Per code, nonfood-contact

surfaces shall be free of unnecessary ledges, projections, and crevices, and designed and constructed to allow

easy cleaning and to facilitate maintenance.

62 3717-1-06.4(M) NC Observed tools being stored on multiple shelves throughout the kitchen. Per code, maintenance tools shall be

stored so they do not contaminate food, equipment, utensils, linens, single-service articles, or single-use articles.

Page ______ of _______




08/26/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

SHERWOOD VFW POST 5665

115 CEDAR STREET SHERWOOD OH 43556

1

9094 08/25/2020

RONALD LUDERMAN 45 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

SHERWOOD VFW POST 5665 08/25/2020

sta


N/A

N/A

N/O

N/A N/O




64 3717-1-20 NC Facility is utilizing a George Forman brand grill that had no mark of being commercial grade.

Page ______ of _______




08/25/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

SLAMMIN' SAMMIES LLC

1704 SPRUCE ST DEFIANCE OH 43512

1

194 08/13/2020

MELISSA RISNER 45 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

SLAMMIN' SAMMIES LLC 08/13/2020

sta ccp


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility clean and well maintained.

No apparent violations at the time of inspection.

Page ______ of _______




08/13/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

SUPER 8 MOTEL


1

9103 08/07/2020

HEMAL HOSPITALITY 30 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

SUPER 8 MOTEL 08/07/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs Facility offering pre-packaged breakfast items only.

No apparent violations at time of inspection.

Page ______ of _______




08/07/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

TACO BELL OF DEFIANCE


1

9104 08/10/2020

GMK INC. 65 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

TACO BELL OF DEFIANCE 08/10/2020

sta ccp


N/A

N/A

N/O

N/A N/O




Page ______ of _______




08/10/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

THE RUMOR MILL

502 E SECOND STREET DEFIANCE OH 43512

1

228 08/07/2020

CHRISTINA COLBURN 30 5

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

THE RUMOR MILL 08/07/2020

sta


N/A

N/A

N/O

N/A N/O




Comment/ Obs All temperatures ok at time of inspection. 23 3717-1-03.4(H) C Ready-to-eat, time/temperature controlled for safety food - disposition. Observed ham which was past its use by

date. Disposed of at time of inspection - violation corrected.

Page ______ of _______




08/07/2020

2 2




State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

TIM HORTON'S # 911056


1

233 08/12/2020

KAVA RESTAURANTS LLC 120 0

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

TIM HORTON'S # 911056 08/12/2020

sta


N/A

N/A

N/O

N/A N/O




15 3717-1-03.2(C) C Observed in the kitchen area, a shelf of bagels and a container of waffles being stored uncovered. Per code,

food shall be protected from cross contamination by storing the food in packages, covered containers, or

wrappings. Items were covered at the time of inspection.

50 3717-1-03.2(K) NC Observed utensils used to stir drinks that have TCS food in them were being stored in stagnant water that was

below 135F. Per code, during pauses in food preparation or dispensing, food preparation and dispensing

utensils shall be stored in a container of water if the water is maintained at a temperature of at least one hundred

thirty-five degrees Fahrenheit and the container is cleaned at a frequency specified under paragraph (B)(2)(g) of

rule 3717-1-04.5 of the Administrative Code. The water was discarded and utensils were washed and sanitized

at the time of inspection.

60 3717-1-06.4(H) NC Observed the hand wash sink to be soiled. Per code, plumbing fixtures such as handwashing sinks, toilets, and

urinals shall be cleaned as often as necessary to keep them clean. The sink was washed at the time of

inspection.

62 3717-1-06.1(C) NC Observed the rubber molding for the wall/floor junction next to the walk-in freezer door was not attached. Per

code, in food service operations in which cleaning methods other than water flushing are used for cleaning

floors, the floor and wall junctures shall be coved and closed to no larger than one thirty-second inch.

63 3717-1-06.2(I)(1) NC Observed that the light intensity in the walk-in freezer was below the required 10-foot candle requirement. 63 3717-1-06.2(I)(2) NC Observed the light intensity in the manual washware area was below the required 20-foot candle requirement.

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State of Ohio

Name of facility

Address



Pre-licensing



Variance Review



License Number Date


Check oneFSO RFE


City/State/Zip Code


(if required)





performs duties

2 IN OUT N/A




4 IN OUT




N/O

N/O



9 IN OUT


N/O

N/A N/O


















Consumer Advisory




Chemical




N/A










N/A

N/A

N/A

Criteria



Page ______


N/A

N/A

N/A

N/A

N/A

N/A N/O

N/A

TINORA HIGH SCHOOL

05921 DOMERSVILLE ROAD DEFIANCE OH 43512

1

7031 08/31/2020

NORTHEASTERN LOCAL SCHOOL DISTRICT 90 10

/ / / /


Name of Facility


State of Ohio








41 IN OUT



IN

OUT


IN



IN

OUT


IN

OUT


IN











Administrative










N/A


N/A N/O


N/A N/O

N/A N/O

N/A

openings protected

N/A N/ON/A N/O

stored, used

N/A N/O

N/A N/O

N/A


storage & display


N/A

N/A

N/A

N/A

N/A

N/A

N/A

TINORA HIGH SCHOOL 08/31/2020

pre


N/A

N/A

N/O

N/A N/O




Comment/ Obs Conducted pre-licensing inspection for kitchen/food service in the new Tinora Middle School/High School

Building.

Ok to transfer existing license to new building-no addtional license fee required.

Comment/ Obs Final construction meets submitted plans.

Hot and Cold water available.

Lighting is sufficient.

Comment/ Obs Prior to operation, ensure hand wash sinks are fully stocked-including signage (HD can provide if necessary).

Finish coving next to locker area.

Provide structure/electrical/plumbing approval.

Ok to operate.

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Documents

Defiance County General Health District Uniform Food ...€¦ · 4.1 Design & construction equipment, utensils, linens Durability & strength or equipment, food temperature measuring